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Application Analyst - EDI Focus

Company: Wellmark Des Moines
Location: Des Moines
Posted on: November 23, 2020

Job Description:

About the Career: In this role, you will manage and troubleshoot multiple applications in support of Wellmark's systems. You will provide tactical troubleshooting and resolution of system incidents and problems while collaborating with application delivery, infrastructure and other business partners. And you will maintain documentation and evaluate changes to determine the risk to current environments. The primary responsibility for this role will include assisting with the development of the Electronic Data Interchange (EDI) strategies and tactics via working with business partners and other IT professionals. Implement strategies documented by requirements for developing, testing and implementing electronic solutions with business partners. Provide technical input to leadership in developing strategic direction for future development and maintaining relationships with payer and clearinghouses. Our Ideal Candidate: You feel effective when you are responding to customer inquiries and becoming well-versed with common problem inquiries to be able to provide immediate solutions. You feel fulfilled when you can build and enhance relationships with internal and external customers to better understand their needs and provide them resolution. Documentation is not just a step in the process, but rather something you look forward to completing as a way to ensure you can better assist customers in the future.Why Wellmark Technology? At a time when technology is creating new business models, disrupting industries and creating valuable experiences for consumers, our role as technology team members must elevate an organization through innovative transformation, modernized technology and delivery of new business strategies, including an aim to continuously evolve and enhance the customer experience. At Wellmark, our technology transformation program is called Ascend and is led by our empowered technology leaders and team members. Together, we are leaning into the future, owning the outcome and working together to transform how we work and what innovative solutions we deliver.Required: 8 years of direct and applicable experienceOR Bachelor's degree in Computer Science, MIS or related field of study AND 4 years of experience: Experience with electronic eligibility, claim status, billing, pre-authorizations, claims and payment remittance transactions Experience with ANSI X.12 compliant EDI transactions, including 820, 270/271, 276/277, 278, 834, 837 & 835s Ability to react quickly and taking steps to efficiently and effectively troubleshoot issues Proven communication skills working with stakeholders within the business and/or external vendors Ability to continually prioritize, with assistance from leader Ability to be flexible and adaptable as priorities shift Demonstrated ability to break down complex problems and troubleshoot the root cause of the problem A self-starter who takes prompt action to accomplish objectivesPreferred: Bachelor---s degree Ability or interest in mentoring/coaching others Experience partnering with global staffing vendors to deliver projectsa. Responsible for managing and troubleshooting multiple applications in support of Wellmark's application systems.Provide technical guidance and coordinate of system implementations and upgrades.Monitor systems availability performance and capacity and advise leadership of system health.b. Provide tactical troubleshooting and resolution of system incidents and problems while collaborating with application delivery, infrastructure and business partners.c. Respond to new release and customer inquiries and become well-versed with common problem inquiries and be able to provide immediate solutions.d. Collaborate with infrastructure and information security to ensure that regulatory and security requirements are maintained.e. Maintain documentation and design papers defining infrastructure, implementation, systems administration, system management, testing, problem escalation and maintenance.f. Assist in the research, evaluation, and selection of technology solutions that are compliant with Wellmark's adopted standards allowing integration into the existing environments with minimal impact to users.g. Evaluate changes to determine the risk to current technical environment to determine and recommend the most effective implementation strategy.h. In support of production/application systems, provide application knowledge/expertise to support project investments. Provide system availability, performance expectations and capacity requirements.i. Attain and leverage technical expertise of current and emerging technologies, as well as exhibiting a practical project management skill-set, to promote strong internal and external customer relationships.j. Develop business knowledge of the application in order to effectively provide support maintenance.k. Support disaster recovery and business continuity efforts and plans in the event of a disaster.Ensure minimal impacts to users during implementation and post maintenance activitiesl. As needed, may engage in development activities to support enhancements and maintenance of application systems or project investments.m. Other duties as assigned.Posting Title: Application Analyst - EDI Focus Requisition ID: 214292 REQUIRES NON-COMPETE?: No External Company Name: Wellmark Blue Cross and Blue Shield External Company URL: www.wellmark.com

Keywords: Wellmark Des Moines, Des Moines , Application Analyst - EDI Focus, Professions , Des Moines, Iowa

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